Imaging prices at HCA Florida Raulerson Hospital
Okeechobee, FL · every code in this section with a posted price and a Medicare benchmark.
263 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,340 | $1,340 | 14.7× |
| Abdomen 2 views (74019) | $1,843 | $1,843 | 16.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $5,408 | $5,408 | 13.0× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $10,051 | $10,051 | 7.4× |
| Angiography extremity bilateral rs&i (75716) | $2,673 | $2,673 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,673 | $2,673 | 0.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,340–$2,680 | $1,340–$2,680 | varies |
| Arthrogram ankle (73615) | $3,532 | $3,532 | 9.7× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$3,532–$7,063 | $3,532–$7,063 | varies |
| Arthrogram Wrist (73115) | $3,532 | $3,532 | 9.7× |
| Bone age studies (77072) | $1,643 | $1,643 | 15.0× |
| Bone Imaging 3 Phase (78315) | $11,117 | $11,117 | 26.6× |
| Bone Imaging Limited Area (78300) | $6,112 | $6,112 | 14.6× |
| Bone Imaging Whole Body (78306) | $10,041 | $10,041 | 24.1× |
| Bone survey infant (77076) | $2,806 | $2,806 | 25.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,873 | $1,873 | 3.3× |
| Cardiac Shunt Detection (78428) | $5,282 | $5,282 | 12.7× |
| Cat Scan Follow-Up Study (76380) | $5,815 | $5,815 | 64.0× |
| Chest 1 view (71045) | $1,053 | $1,053 | 11.6× |
| Chest 2 views (71046) | $1,547 | $1,547 | 17.0× |
| Chest 3 views (71047) | $2,214 | $2,214 | 24.4× |
| Chest 4 or more views (71048) | $2,247 | $2,247 | 20.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,518–$3,027 | $1,518–$3,027 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $6,749 | $6,749 | 61.8× |
| Contrast Exam Abdominl Aorta (75625) | $2,673 | $2,673 | 0.8× |
| Contrast X-Ray Bladder (74430) | $2,038 | $2,038 | 5.6× |
| Contrast X-Ray Of Elbow (73085) | $3,532 | $3,532 | 9.7× |
| Contrast X-Ray Of Knee Joint (73580) | $3,403 | $3,403 | 9.3× |
| CT abdomen and pelvis without and with contrast (74178) | $23,351 | $23,351 | 64.1× |
| CT abdomen and pelvis without contrast (74176) | $18,870 | $18,870 | 75.7× |
| CT abdomen w contrast (74160) | $10,545 | $10,545 | 57.6× |
| CT abdomen w wo contrast (74170) | $11,308 | $11,308 | 61.7× |
| CT abdomen w/o contrast (74150) | $9,208 | $9,208 | 84.3× |
| CT Angio Abdomen and Pelvis (74174) | $21,621 | $21,621 | 59.3× |
| CT Angio Chest (71275) | $13,573 | $13,573 | 74.1× |
| CT Angio Head (70496) | $11,555 | $11,555 | 63.1× |
| CT angio hrt w/3d image (75574) | $18,976 | $18,976 | 52.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$13,777–$27,554 | $13,777–$27,554 | varies |
| CT Angio Neck (70498) | $13,413 | $13,413 | 73.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $12,420 | $12,420 | 67.8× |
| CT cervical spine w/ contrast (72126) | $9,859 | $9,859 | 27.1× |
| CT cervical spine w/o contrast (72125) | $9,571 | $9,571 | 87.7× |
| CT cervical spine w/wo cont (72127) | $12,094 | $12,094 | 66.0× |
| CT chest w contrast (71260) | $9,640 | $9,640 | 52.6× |
| CT chest w/wo contrast (71270) | $11,105 | $11,105 | 60.6× |
| CT head/brain with contrast (70460) | $8,484 | $8,484 | 46.3× |
| CT head/brain without and with contrast (70470) | $9,091 | $9,091 | 49.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $18,298 | $18,298 | 50.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $24,886 | $24,886 | 273.8× |
| CT iac w contrast (70481) | $9,516 | $9,516 | 52.0× |
| CT l-spine w&w/o contrast (72133) | $12,041 | $12,041 | 65.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$8,817–$17,640 | $8,817–$17,640 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$10,231–$20,463 | $10,231–$20,463 | varies |
| CT lumbar spine w contrast (72132) | $10,260 | $10,260 | 28.2× |
| CT lumbar spine w/o contrast (72131) | $8,425 | $8,425 | 77.2× |
| CT maxillofacial w contrast (70487) | $9,343 | $9,343 | 51.0× |
| CT maxillofacial wo contrast (70486) | $9,489 | $9,489 | 86.9× |
| CT neck tissue combo (70492) | $10,942 | $10,942 | 59.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $10,152 | $10,152 | 55.4× |
| CT orbits w/o contrast (70480) | $8,145 | $8,145 | 74.6× |
| CT pelvis w&w/o contrast (72194) | $12,041 | $12,041 | 65.7× |
| CT pelvis w/o contrast (72192) | $9,665 | $9,665 | 88.5× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$11,308–$22,624 | $11,308–$22,624 | varies |
| CT scans face/jaw combo (70488) | $9,952 | $9,952 | 54.3× |
| CT soft tissue neck w contrast (70491) | $9,854 | $9,854 | 53.8× |
| CT soft tissue neck w/o contrast (70490) | $9,571 | $9,571 | 87.7× |
| CT thoracic spine w contrast (72129) | $8,484 | $8,484 | 46.3× |
| CT thoracic spine w/o contrast (72128) | $9,631 | $9,631 | 88.2× |
| CT thoracic spine w/wo cont (72130) | $11,149 | $11,149 | 60.9× |
| CT thorax w/o contrast (71250) | $8,456 | $8,456 | 77.5× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$7,810–$15,625 | $7,810–$15,625 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$9,952–$19,901 | $9,952–$19,901 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$8,992–$17,990 | $8,992–$17,990 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $25,025 | $25,025 | 136.6× |
| Cta Abdomen (74175) | $13,777 | $13,777 | 75.2× |
| CTA pelvis (72191) | $14,506 | $14,506 | 79.2× |
| Dilation ureters/urethra rs&i (74485) | $6,971 | $6,971 | 3.2× |
| Dxa Bone Density Axial (77080) | $429 | $429 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $429 | $429 | 4.7× |
| Esophagram (74220) | $2,455 | $2,455 | 13.4× |
| Fetal Biophys Profile W/Nst (76818) | $3,592 | $3,592 | 32.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,369 | $3,369 | 30.9× |
| Fluoroscopy up to 1 hr (76000) | $2,052 | $2,052 | 8.2× |
| Follow-Up Angiography (75898) | $1,804 | $1,804 | 0.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,293–$2,585 | $1,293–$2,585 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,646–$3,285 | $1,646–$3,285 | varies |
| Gastric emptying imaging study (78264) | $5,529 | $5,529 | 13.2× |
| Gated Heart Planar Single (78472) | $6,825 | $6,825 | 16.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,281–$2,555 | $1,281–$2,555 | varies |
| Hepatobil Syst Image W/Drug (78227) | $10,014 | $10,014 | 17.7× |
| Hepatobiliary System Imaging (78226) | $7,514 | $7,514 | 18.0× |
| Ht Muscle Image Spect Sing (78451) | $16,467 | $16,467 | 12.2× |
| Hysterosalpingogram (74740) | $2,215 | $2,215 | 8.9× |
| Infant hip ultrasound, limited static exam (76886) | $2,404 | $2,404 | 26.5× |
| Infusion Ivp (74410) | $2,188 | $2,188 | 11.9× |
| K Flow/Funct Image W/Drug (78708) | $9,810 | $9,810 | 17.3× |
| K Flow/Funct Image W/O Drug (78707) | $7,498 | $7,498 | 13.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,097–$2,755 | $1,097–$2,755 | varies |
| Liver & Spleen Imaging Static Only (78215) | $6,825 | $6,825 | 16.3× |
| Lung perfusion differential (78597) | $2,308 | $2,308 | 5.5× |
| Lung Ventilat&Perfus Imaging (78582) | $12,507 | $12,507 | 22.1× |
| Lung Ventilation Imaging (78579) | $6,486 | $6,486 | 15.5× |
| Lymph System Imaging (78195) | $2,850 | $2,850 | 5.0× |
| Magnetic Image Jaw Joint (70336) | $9,503 | $9,503 | 38.1× |
| Mammary ductogram or galactogram multiple (77054) | $7,582 | $7,582 | 30.4× |
| Mammary ductogram or galactogram single (77053) | $5,418 | $5,418 | 21.7× |
| Meckels Divert Exam (78290) | $6,669 | $6,669 | 16.0× |
| Mra Head W/O & W/Contrast Material (70546) | $12,857 | $12,857 | 35.3× |
| MRA head w/o contrast (70544) | $5,576 | $5,576 | 22.4× |
| MRA head with contrast (70545) | $11,620 | $11,620 | 31.9× |
| MRA neck w contrast (70548) | $3,671 | $3,671 | 10.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,302 | $6,302 | 17.3× |
| MRA neck w/o contrast (70547) | $5,576 | $5,576 | 22.4× |
| MRI abdomen w contrast (74182) | $8,218 | $8,218 | 22.6× |
| MRI abdomen w/o contrast (74181) | $8,780 | $8,780 | 35.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$10,786–$19,821 | $10,786–$19,821 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$13,372–$26,747 | $13,372–$26,747 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,987 | $9,987 | 12.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $8,380 | $8,380 | 33.6× |
| MRI cervical spine w contrast (72142) | $14,413 | $14,413 | 39.6× |
| MRI cervical spine w/o cont (72141) | $11,666 | $11,666 | 46.8× |
| MRI chest w/o contrast (71550) | $9,048 | $9,048 | 36.3× |
| MRI chest with contrast (71551) | $8,380 | $8,380 | 10.2× |
| MRI chest wo w contrast (71552) | $13,787 | $13,787 | 37.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $10,315 | $10,315 | 28.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$10,813–$21,633 | $10,813–$21,633 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$10,315–$20,634 | $10,315–$20,634 | varies |
| MRI lumbar spine w contrast (72149) | $14,326 | $14,326 | 39.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $14,803 | $14,803 | 40.6× |
| MRI orbit face &/neck w/o contrast (70540) | $11,372 | $11,372 | 45.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $13,787 | $13,787 | 37.8× |
| MRI pelvis w/o & w contrast (72197) | $13,787 | $13,787 | 37.8× |
| MRI pelvis w/o contrast (72195) | $8,780 | $8,780 | 35.2× |
| MRI thoracic spine w/o contrast (72146) | $11,143 | $11,143 | 44.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $10,460 | $10,460 | 28.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$10,460–$20,910 | $10,460–$20,910 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$11,395–$22,796 | $11,395–$22,796 | varies |
| MRI, abdomen, combo (74183) | $14,217 | $14,217 | 39.0× |
| MRI, dorsal spine combo (72157) | $15,405 | $15,405 | 42.3× |
| MRI, dorsal spine contrast (72147) | $13,617 | $13,617 | 37.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$10,639–$21,279 | $10,639–$21,279 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$13,372–$26,747 | $13,372–$26,747 | varies |
| MRI, lumbar spine combo (72158) | $15,187 | $15,187 | 41.7× |
| Myelogram cervical (72240) | $9,340 | $9,340 | 11.4× |
| Myelogram Lumbar (72265) | $9,340 | $9,340 | 11.4× |
| Myelography thoracic (72255) | $9,340 | $9,340 | 11.4× |
| Myelograpy 2/more regions rs&i (72270) | $12,451 | $12,451 | 15.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $6,053 | $6,053 | 14.5× |
| Myocardial Spect Multiple Studies (78452) | $19,549 | $19,549 | 14.5× |
| Neck soft tissue (70360) | $1,512 | $1,512 | 16.6× |
| Nm myocard infarct spect (78469) | $6,053 | $6,053 | 10.7× |
| Nonvascular Shunt X-Ray (75809) | $1,847 | $1,847 | 16.9× |
| Ob us nuchal meas 1 gest (76813) | $2,362 | $2,362 | 21.6× |
| Parathyroid Planar Imaging (78070) | $2,637 | $2,637 | 6.3× |
| Pelvis 1 or 2 views (72170) | $1,670 | $1,670 | 15.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,004 | $6,004 | 14.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,188 | $2,188 | 3.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,713–$3,427 | $1,713–$3,427 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,520–$3,033 | $1,520–$3,033 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,746–$3,486 | $1,746–$3,486 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,298 | $1,298 | 11.9× |
| Radex fingr minimum 2 views (73140) | $1,479 | $1,479 | 16.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,646–$3,285 | $1,646–$3,285 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,579–$3,155 | $1,579–$3,155 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,643–$3,278 | $1,643–$3,278 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$2,455–$4,912 | $2,455–$4,912 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,717 | $1,717 | 18.9× |
| Radex Ribs Unilateral 2 Views (71100) | $1,871 | $1,871 | 20.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,746–$3,486 | $1,746–$3,486 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,231 | $3,231 | 17.6× |
| Radex Spine 1 View Specify Level (72020) | $1,646 | $1,646 | 18.1× |
| Radex Sternum Minimum 2 Views (71120) | $1,885 | $1,885 | 20.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,611 | $1,611 | 17.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,293–$2,585 | $1,293–$2,585 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,618–$3,225 | $1,618–$3,225 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,518–$3,027 | $1,518–$3,027 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $7,649 | $7,649 | 70.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,431 | $1,431 | 13.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,843 | $1,843 | 16.9× |
| Radiologic exam colon double contrast study (74280) | $3,926 | $3,926 | 21.4× |
| Radiologic exam colon single contrast study (74270) | $3,068 | $3,068 | 16.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,455 | $2,455 | 13.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,731–$3,454 | $1,731–$3,454 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,231 | $3,231 | 17.6× |
| Radiologic exam swallow function contrast study (74230) | $1,713 | $1,713 | 9.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,710 | $3,710 | 20.3× |
| Radiologic examination femur minimum 2 views (73552) | $1,731 | $1,731 | 19.0× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,382–$2,755 | $1,382–$2,755 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,753–$3,509 | $1,753–$3,509 | varies |
| Renal Cyst Study (74470) | $1,357 | $1,357 | 2.4× |
| Ribs bilateral 3 views (71110) | $2,505 | $2,505 | 22.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,850 | $2,850 | 6.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,034 | $5,034 | 12.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,142 | $8,142 | 14.4× |
| Salivary Gland Imaging Serial Images (78231) | $1,765 | $1,765 | 4.2× |
| Scapula (73010) range across 3 matching MRF lines |
$1,698–$3,391 | $1,698–$3,391 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $99 | $99 | 4.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,471–$2,946 | $1,471–$2,946 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$3,532–$7,063 | $3,532–$7,063 | varies |
| Skull less than 4 views (70250) | $1,487 | $1,487 | 13.6× |
| Sternoclavicular joints (71130) | $957 | $957 | 10.5× |
| Testicular Imaging W/Flow (78761) | $6,110 | $6,110 | 14.6× |
| Thoracic spine 2 views (72070) | $1,751 | $1,751 | 16.0× |
| Thoracic spine 3 views (72072) | $1,861 | $1,861 | 17.0× |
| Thoracolumbar 2 views (72080) | $1,945 | $1,945 | 21.4× |
| Thyroid Imaging With Vascular Flow (78013) | $4,802 | $4,802 | 11.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $7,255 | $7,255 | 17.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,262–$1,774 | $1,262–$1,774 | varies |
| Ultrasound, abdomen limited (76705) | $3,590 | $3,590 | 32.9× |
| Umbilical-artery Doppler (OB) (76820) | $3,820 | $3,820 | 35.0× |
| Unlisted us procedure (76999) | $1,574 | $1,574 | 17.3× |
| Upper gi w/o kub (74240) | $3,710 | $3,710 | 20.3× |
| Ureteral Reflux Study (78740) | $3,248 | $3,248 | 7.8× |
| Urethrocystogram voiding (74455) | $2,520 | $2,520 | 10.1× |
| Urethrocystography retrograde (74450) | $2,038 | $2,038 | 8.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,262–$1,774 | $1,262–$1,774 | varies |
| Us chest (76604) | $2,913 | $2,913 | 26.7× |
| Us exam, pelvic, limited (76857) | $1,480 | $1,480 | 13.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$1,037–$2,060 | $1,037–$2,060 | varies |
| Us ob detailed single fetus (76811) | $3,258 | $3,258 | 13.1× |
| Us ob limited 1 or more fetuses (76815) | $2,571 | $2,571 | 23.6× |
| Us ob transvaginal (76817) | $3,258 | $3,258 | 29.8× |
| Us pelvic non ob complete (76856) | $3,599 | $3,599 | 33.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,258 | $3,258 | 29.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,362 | $2,362 | 21.6× |
| Us retroperitoneal complete (76770) | $3,231 | $3,231 | 29.6× |
| Us retroperitoneal limited (76775) | $3,254 | $3,254 | 29.8× |
| Us scrotum and contents (76870) | $3,167 | $3,167 | 29.0× |
| Us spinal canal and contents (76800) | $3,173 | $3,173 | 29.1× |
| Us thyroid (76536) | $3,385 | $3,385 | 31.0× |
| Vascular Flow Imaging (78445) | $1,563 | $1,563 | 3.7× |
| Venography extremity unilateral rs&i (75820) | $2,406 | $2,406 | 1.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,516 | $3,516 | 8.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,242–$2,482 | $1,242–$2,482 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,242 | $1,242 | 13.7× |
| X-ray antegrade pyelogram tube (74425) | $4,353 | $4,353 | 11.9× |
| X-Ray Bend Only L-S Spine (72120) | $2,118 | $2,118 | 19.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,358–$2,715 | $1,358–$2,715 | varies |
| X-Ray Exam Breast Specimen (76098) | $396 | $396 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,371 | $1,371 | 15.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,890 | $2,890 | 31.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,332 | $3,332 | 36.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $3,457 | $3,457 | 31.7× |
| X-Ray Exam L-S Spine Bending (72114) | $3,762 | $3,762 | 34.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,646 | $1,646 | 18.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,520 | $2,520 | 23.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,119 | $2,119 | 19.4× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,046–$2,090 | $1,046–$2,090 | varies |
| X-ray humerus (73060) | $1,523 | $1,523 | 16.8× |
| X-ray IV pyelogram+tomography (74415) | $3,760 | $3,760 | 20.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,960 | $1,960 | 18.0× |
| X-ray nose-rectum child f.b. (76010) | $1,219 | $1,219 | 13.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,579 | $3,579 | 32.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,785 | $1,785 | 16.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,785 | $1,785 | 19.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,493 | $2,493 | 27.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,686 | $2,686 | 24.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,807 | $2,807 | 7.7× |
| X-Rays Bone Length Studies (77073) | $2,652 | $2,652 | 24.3× |
| X-Rays Bone Survey Complete (77075) | $3,083 | $3,083 | 28.2× |
| Xr c-spine 4 or 5 views (72050) | $2,192 | $2,192 | 20.1× |
| Xr orbits complete 4 views (70200) | $2,338 | $2,338 | 21.4× |
| Xr Tomogram Single Plane (76100) | $4,459 | $4,459 | 40.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.